The data don't totally make sense to me because of the early weights. The wt 
loss was 7% and the wt gain was 10 oz in 3 days! Was there any jaundice in 
the first week?

I would suspect insufficient glandular tissue and that the weights were 
inaccurate, particularly the 10 oz gain. I bet the baby was not nude and not 
sure what type of scale was used. (I have seen babies with high wt loss turn 
around and gain 4-5 oz overnight once supplementation has begun. But I 
cannot imagine such a large gain if the mother's milk did not really "come 
in.")

If something is different about the night nursings, perhaps the latch is 
different at night using another position? This could be investigated as 
well.

I would recommend a hospital grade pump instead of a working mom's pump, 
perhaps a different supplementer device like Lact-Aid or a simple feeding 
tube threaded through a bottle nipple, herbal and/or prescription 
galactagogues. Of course, close f/u for baby and mom.

I am not well-versed in vegan diets but it seems mother grew the baby quite 
well in pregnancy. But a dietician or nutritionist could help mother assess 
her diet if needed.

Laurie Wheeler, IBCLC, MN, RN
Mississippi, s.e. USA

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